Cardiac Screening
October 31, 2014
Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”
“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”
“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”
“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”
“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”
“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”
The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”
Attendance Trends
March 27, 2015
Media across the US have been reporting the decline in attendance at intercollegiate football and basketball games. “It’s a national epidemic,” according to a Charleston (SC) Post & Courier column this month.
This should surprise no one. And it’s the latest proof that it is possible to get too much of a good thing. And when it comes to college football and basketball games, there is far too much indeed –
- A few too many football games during the regular season, far too many of those games televised, and an absurd number of postseason bowl games of zero significance.
- About two times too many basketball games during the regular season, far too many televised, and too often with absurd starting times and post-midnight conclusions.
The over-exposure of the college product began to suck the life out of high school football and basketball attendance two decades ago. And as the higher profile college programs have done more and more to promote their events, lower profile college programs have paid the price. Higher profile programs are now gnawing on each other’s bones.
All of this makes life tougher for us at the interscholastic level; but at the MHSAA, we’re not merely whining – we’re working to increase the attendance and enhance the spectators’ experience. A staff task force has been generating ideas, and the Representative Council has been generous with encouragement and support to implement changes in the MHSAA tournament atmosphere.
Perhaps we can pick up a few of those fans who have defected from the high price of college tickets and the slow pace of their televised games.